Ingabe ungumdlali wezemidlalo odlala ikhilikithi, i-volleyball, noma abajikijeli be-javelin? Khona-ke cishe ujwayelene nobuhlungu obuvela ngaphakathi kwendololwane yakho. Lokhu kulimala kuvame kakhulu kwezemidlalo ezihilela ukuphonsa okuthile ngengalo yakho. Ngezinye izikhathi lobu buhlungu bungaba bukhulu kangangokuthi bungaqeda umsebenzi wakho wezemidlalo. Namuhla sikhuluma ngokuhlinzwa okukhethekile okuza kusiza ngezikhathi ezinjalo futhi kusindise ikusasa labadlali abaningi. Lokho "ukuhlinzwa kukaTommy John".
Kalula nje, kuyini ukuhlinzwa kukaTommy John?
Kulula kakhulu. Ukuhlinzwa kukaTommy John kuyindlela yokuhlinzwa elungisa umsipha okhethekile endololwaneni yakho. Ngokwezokwelapha, lokhu sikubiza ngokuthi ukuhlinzwa kokushintshana kwe-UCL (Ulnar Collateral Ligament) .
Cabanga nge-elbow joint yakho njenge-hinge yomnyango. Kunezintambo ezinhlangothini zombili zale hinge eziyibamba endaweni yayo ngaphandle kokuhambahamba ngokungadingekile, akunjalo? Ngokufanayo, kunebhande eliqinile ngaphakathi kwe-elbow eligcina i-elbow joint izinzile, esiyibiza ngokuthi `(Ulnar Collateral Ligament)` noma `(UCL)`.
Ngokufanayo, lapho uphonsa into ngokucindezela okukhulu engalweni ngokuphindaphindiwe (ikakhulukazi abaphosa ibhola ngokushesha ku-cricket, abadlali be-baseball, abaphosa i-javelin), le ligament `(UCL)` inganwebeka kancane kancane, idabuke futhi yonakale. Lokhu kuhlinzwa kwenzelwa ukulungisa leyo ligament eyonakele.
Pho kungani lokhu kubizwa ngokuthi 'uTommy John'?
Kukhona indaba ethokozisayo kakhulu ngemuva kwalokhu. Lokhu kuhlinzwa kwaqanjwa igama kumdlali we-baseball waseMelika odumile ogama lakhe linguTommy John . Wayengumdlali we-bowler. Ngo-1974, lo msipha we-"UCL" endololwaneni yakhe wawudabukile kakhulu. Ngaleso sikhathi, kwakuyinto eyayingaqeda umsebenzi wakhe wokudlala. Kodwa odokotela benza ukuhlinzwa okusha futhi baphulukisa indololwane yakhe. Ngemva konyaka wokuphumula, uTommy John waqala ukudlala futhi ngempumelelo. Kusukela ngaleso sikhathi, lokhu kuhlinzwa kwaziwa ngokuthi "ukuhlinzwa kukaTommy John".
Ingabe ngidinga ngempela lokhu kuhlinzwa?
Lena inkinga abantu abaningi ababhekene nayo. Uma ungumsubathi nje wokuzijabulisa, ungase ukwazi ukwelapha lesi simo ngokunikeza indololwane yakho ukuphumula okwanele kanye nezinye izindlela zokwelapha.
Kodwa-ke, uma ungumdlali oncintisanayo noma ochwepheshe omsebenzi wakhe wonke uncike kuleli khono lokuphonsa, lokhu kuhlinzwa kungaba yinto ebalulekile kuwe. Izinto eziyinhloko ezilindelwe kulokhu kuhlinzwa yilezi:
- Ukuqinisa indololwane yakho.
- Ukunciphisa ubuhlungu.
- Ukubuyisela ububanzi bokunyakaza endololwaneni.
Ngesikhathi sokuhlinzwa, udokotela wakho ohlinzayo usebenzisa i-tendon enempilo evela kwenye indawo emzimbeni wakho ukuze athathe indawo ye-UCL eyonakele. Lokhu kubizwa ngokuthi i-graft. Le graft inamathele ethanjeni lengalo elingaphezulu (i-humerus) kanye nethambo lengalo (i-ulna) ukuze isebenze njenge-UCL entsha.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Udokotela wakho uzochaza konke okudingeka ukwenze ngaphambi kokuhlinzwa. Ngokuvamile, kuzodingeka wenze okulandelayo:
- Ukuhlolwa okuphelele ngokomzimba ukuze kubonakale ukuthi uphilile ngokwanele yini ukuhlinzwa.
- Ukuhlolwa kwegazi okuningana.
- Kungadingeka ukuhlolwa kwesithombe, njenge -X-ray , i-CT scan , noma i-MRI scan , ukuze kuhlolwe kahle isimo sendololwane.
- Ukuhlolwa kwe-ECG ukuhlola ukusebenza kwenhliziyo.
- Ukuhlolwa kwamazinyo ukuze kuncishiswe ingozi yokutheleleka ngemva kokuhlinzwa.
Kubaluleke kakhulu: Qiniseka ukuthi utshela udokotela wakho nganoma yimiphi imithi, amavithamini , noma amakhambi owasebenzisayo. Eminye imithi kungadingeka iyekwe ezinsukwini ezimbalwa ngaphambi kokuhlinzwa.
Udokotela wakho uzokweluleka ngokuthi kufanele uyeke ukudla nokuphuza isikhathi esingakanani ngosuku olwandulela ukuhlinzwa kwakho. Ngokuvamile, kuzodingeka uyeke ukudla nokuphuza cishe emahoreni ayi-12 ngaphambi kokuhlinzwa kwakho.
Kwenzekani ngesikhathi sokuhlinzwa?
Ngaphambi kokuba kuqale ukuhlinzwa, udokotela wezinzwa uzokufaka ngaphansi kwe-anesthesia ejwayelekile ukuze ungezwa ubuhlungu ngesikhathi sokuhlinzwa.
Ukuhlinzwa kuvame ukwenzeka ngalezi zinyathelo:
1. Ukubheka ngaphakathi kwendololwane: Okokuqala, udokotela ohlinzayo angafaka ikhamera encane (i-arthroscopy) ukuze ahlole omunye umonakalo ngaphakathi kwendololwane.
2. Ukuthola i-Graft: Ukuze kudalwe i-ligament entsha, kuthathwa i-tendon enempilo engamasentimitha angu-6-7 kwenye indawo emzimbeni wakho. Lokhu kuvame ukuthathwa engalweni yakho. Ngezinye izikhathi, i-hamstring nayo ingathathwa ngemuva kwedolo lakho .
3.Ukuhlanza: Zonke izicubu ezonakele ngaphakathi kwendololwane ziyasuswa.
4. Ukulungiswa kwamathambo: Okulandelayo, kufakwa imigodi emibili ethanjeni lengalo (ulna) bese kufakwa imigodi emithathu engxenyeni emise okwe-Y yethambo lengalo elingaphezulu (ihumerus).
5. Ukufaka i-ligament entsha: I-"graft" ye-tendon ekhishwe ngaphambilini idlula kulezi zimbobo futhi iqiniswe njenge-ligament entsha. Izikulufo ezincane zingasetshenziswa ukuyibopha ethanjeni.
6. Okunye ukulungiswa: Uma i-ulnar nerve noma ezinye izingxenye zendololwane zonakele phakathi nalesi sikhathi, nazo zizolungiswa.
7. Ukuphela kokuhlinzwa: Ekugcineni, inxeba lesikhumba liyathungwa livalwe futhi limbozwe ngebhandeji elihlanzekile. Ngemva kokuhlinzwa, kufakwa i-bant ukuze kuvinjelwe ukunyakaza kwendololwane.
Lokhu kuhlinzwa kuvame ukuthatha imizuzu engama-60 kuya kwengama-90 .
Yiziphi izinzuzo nezingozi zokuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, ukuhlinzwa kukaTommy John kunezinzuzo zako kanye nezingozi ezithile.
| Izinzuzo | Izingozi |
|---|---|
| Ikhono labadlali abaningi (80%-95%) lokubuyela ngempumelelo ekudlaleni. | Ukutheleleka endaweni yokuhlinzwa. |
| Ukukhuthazela kungathuthukiswa uma uphonsa okuthile. | Ukungabi namandla ngenxa yokulimala kwemizwa endololwaneni (umthambo we-ulnar). |
| Amathuba okuthi kudingeke ukuthi kuhlinzwe i-ligament efanayo futhi aphansi kakhulu. | Ukulimala kwemithambo yegazi. |
| Ukuxega noma ukuguguleka komsipha osanda kubekwa (i-graft). |
Kunjani ukululama ngemva kokuhlinzwa?
Khumbula, kungathatha isikhathi esingaphezu konyaka ukululama ngokuphelele ekuhlinzweni kukaTommy John. Lolu uhambo olude oludinga isineke.
Udokotela wakho kanye nodokotela we-physiotherapist bazokunikeza uhlelo lokululama olufanele wena. Ngokuvamile lungase lubukeke kanje:
| Umkhawulo wesikhathi | Kwenzekani? |
|---|---|
| Amaviki ambalwa okuqala | Kumelwe ugqoke i-banding eqinile ukuze uvimbele indololwane yakho. |
| Phakathi kwenyanga eyodwa kuya kwezimbili | Shintshela ku-splint enezinsika. Ukuzivocavoca kwe-physiotherapy kuyaqala. |
| Phakathi kwezinyanga ezi-3-4 | Uma uthola imvume kadokotela wakho, ungaqala ukuzijwayeza ukuphonsa kancane kakhulu. |
| Phakathi kwezinyanga ezingu-6-9 | Uzokwazi ukuhlanganyela ekuqeqeshweni ngemikhawulo. Kubaluleke kakhulu ukulandela imiyalelo ngqo. |
| Phakathi kwezinyanga ezingu-12-18 | Uma kungekho zinkinga, uzothola imvume yezokwelapha ukuze uhlanganyele ngokugcwele emncintiswaneni. |
Uzobona nini udokotela
Uma uhlangabezana nanoma yiziphi zalezi zimpawu ngemva kokuhlinzwa, kufanele ushayele udokotela wakho ucingo ngokushesha .
- Ubuhlungu besifuba
- Ubunzima bokuphefumula
- Umkhuhlane ongaphezu kwama-39 Celsius (102 Fahrenheit)
- Izimpawu zokutheleleka okufana nokopha noma uketshezi olufana nobomvu oluvela enxebeni lokuhlinzwa, ukuvuvukala, iphunga elibi, kanye nomuzwa ongavamile wokufudumala.
- Ubuhlungu obusha noma obuya buba bubi endololwaneni, engalweni, noma esandleni.
- Ubuhlungu bukhulu kangangokuthi abukwazi ukulawulwa ngisho nangemithi yobuhlungu.
Khumbula, uma uzwa ubuhlungu esifubeni noma ubunzima bokuphefumula, hamba ngqo eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngaphandle kokulibala. Lokhu kungaba izimpawu zesimo esibucayi.
Ukuhlinzwa kukaTommy John kuyisisombululo esiphumelela kakhulu sokulimala okuqeda imidlalo esikhathini esidlule. Nakuba isikhathi sokululama side, ngokubekezela nangokulandela imiyalelo kadokotela wakho ngqo, ungabuyela ngempumelelo enkundleni yokudlala. Uma ushesha futhi uqala ukuqeqesha ngaphambi kokuba udokotela wakho akunike imvume, kungase kudingeke wenze ukuhlinzwa okwengeziwe futhi ungabi sezemidlalo isikhathi eside nakakhulu. Ngakho-ke ukubekezela kuyisihluthulelo lapha.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kukaTommy John kuyindlela yokuhlinzwa ephumelela kakhulu elungisa umonakalo ku-collateral ligament (UCL) ngaphakathi kwendololwane.
- Lokhu kubaluleke kakhulu kubadlali abangochwepheshe abadlala imidlalo yokuphonsa njengekhilikithi ne-baseball.
- Kungathatha isikhathi esingaphezu konyaka ukululama ngokuphelele ngemva kokuhlinzwa, futhi isineke nokuzinikela kubalulekile.
- Ukulandela imiyalelo kadokotela wakho kanye nodokotela wezifo zomzimba kuyindlela engcono kakhulu yokubuyela ngempumelelo kwezemidlalo.
- Ungazinaki izimpawu eziyisixwayiso ezifana nobuhlungu besifuba, ubunzima bokuphefumula, kanye nomkhuhlane omkhulu ngemva kokuhlinzwa. Funa iseluleko sezokwelapha ngokushesha.
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